WAYNE O WALLACE

ATCHISON, KS
NPI1639175292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  0413701)
Enumeration Date2005-06-28
Last Update Date2010-01-28
Business Address
-- WAYNE O WALLACE md
810 RAVEN HILL DRIVE
ATCHISON, KS 66002-1401
Phone number: 913-367-6689
Mailing Address
-- WAYNE O WALLACE md
810 RAVEN HILL DRIVE
ATCHISON, KS 66002-1243
Phone number: 913-367-7300
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